Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Mental and Social Health (36)
- Social and Behavioral Sciences (20)
- Other Mental and Social Health (19)
- Education (16)
- Public Health (16)
-
- Psychology (10)
- Psychiatry and Psychology (8)
- Medical Specialties (6)
- Other Rehabilitation and Therapy (5)
- Public Health Education and Promotion (5)
- Sociology (5)
- Community Health (4)
- Community Health and Preventive Medicine (4)
- Social Justice (4)
- Child Psychology (3)
- Curriculum and Instruction (3)
- Disability Studies (3)
- Higher Education (3)
- Medical Education (3)
- Psychiatric and Mental Health (3)
- Social Psychology (3)
- Sports Sciences (3)
- Women's Health (3)
- Adult and Continuing Education (2)
- Behavior and Behavior Mechanisms (2)
- Bilingual, Multilingual, and Multicultural Education (2)
- Community-Based Learning (2)
- Institution
-
- University of St Augustine for Health Sciences (55)
- Western Michigan University (22)
- Eastern Kentucky University (20)
- Nova Southeastern University (12)
- University of South Dakota (11)
-
- Arkansas State University (10)
- Cleveland State University (10)
- Belmont University (7)
- West Virginia University (7)
- Medical University of South Carolina (6)
- University of North Dakota (6)
- Cabarrus College of Health Sciences (5)
- Misericordia University (5)
- A.T. Still University (4)
- Grand Valley State University (3)
- Dominican University of California (2)
- Institut de Recherche Robert-Sauvé en santé et en sécurité du travail (1)
- Thomas Jefferson University (1)
- University of Louisiana Monroe (1)
- University of Nevada, Las Vegas (1)
- University of Tennessee Health Science Center (1)
- Western University (1)
- Publication Year
- Publication
-
- The Open Journal of Occupational Therapy (21)
- Spring 2025 OTD Capstone Symposium (11)
- Journal of Occupational Therapy Education (10)
- Occupational Therapy Capstone Presentations (10)
- Occupational Therapy Doctoral Capstones (10)
-
- Occupational Therapy Doctoral Student Capstone Posters (10)
- Spring 2024 Virtual OTD Capstone Symposium (8)
- Department of Occupational Therapy Entry-Level Capstone Projects (7)
- OTD Capstone Projects (7)
- Oral History Posters (6)
- Spring 2026 OTD Capstone Symposium (6)
- Summer 2024 OTD Capstone Symposium (6)
- Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium (5)
- MOT Student Capstones (5)
- Summer 2025 OTD Capstone Symposium (5)
- Fall 2024 OTD Capstone Symposium (4)
- Graduate Student Scholarship (4)
- OT Student Capstones (4)
- Occupational Therapy Doctorate Capstone Posters (4)
- Occupational Therapy Doctorate Capstone Projects (4)
- Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026 (3)
- Graduate Theses, Dissertations, and Problem Reports (ETD) (3)
- OCCUPATION: A Medium of Inquiry about Health through Occupation (3)
- Spring 2023 Virtual OTD Capstone Symposium (3)
- Student Capstone Papers (3)
- Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025 (2)
- Fall 2022 Virtual OTD Capstone Symposium (2)
- Masters Theses (2)
- Occupational Therapy Program Student Theses, Dissertations and Capstones (2)
- Occupational Therapy | MSOT Capstone Projects (2)
- Publication Type
- File Type
Articles 61 - 90 of 191
Full-Text Articles in Occupational Therapy
Benefits Of Occupation-Based Outdoor Physical Activity To Mental Health, Jessica S. Eady, Kayleigh E. Hollywood
Benefits Of Occupation-Based Outdoor Physical Activity To Mental Health, Jessica S. Eady, Kayleigh E. Hollywood
OCCUPATION: A Medium of Inquiry about Health through Occupation
This paper examines the benefits of occupation-based outdoor physical activity as an intervention for individuals with mental health conditions to increase their psychological well-being. We conducted a focused review of the literature to support the participation in physical activity, if any within the lives of people with mental health concerns. We utilized the Model of Human Occupation (MOHO) framework to understand and to determine the relevance of this review to find support in incorporating outdoor physical activities in occupational therapy interventions. We propose that engaging in outdoor recreation can facilitate meaningful occupational engagement and subsequent identity development which may potentially …
Individualized Sensory Based Functional Activity Program For Individuals With Intellectual And Developmental Disability With A Co-Morbidity Of A Mental Health Condition, Dakota Laporte, Cynthia Haynes, Rebekah Jarrar
Individualized Sensory Based Functional Activity Program For Individuals With Intellectual And Developmental Disability With A Co-Morbidity Of A Mental Health Condition, Dakota Laporte, Cynthia Haynes, Rebekah Jarrar
Fall 2024 OTD Capstone Symposium
This Program was designed for individuals with intellectual and developmental disabilities who have a co-occurring mental health condition. This program was designed based on the individual's sensory needs to improve occupational performance in their lives. This capstone project filled a knowledge gap by creating a sensory based activity program for individuals with IDD and mental health conditions. Its primary goal was to educate participants about their sensory needs and integrate these into functional activities to improve occupational performance.
Powerful Families Podcast: The Role Of Occupational Therapy In Family Education Of Mental Health Conditions And Substance Use Disorder, Wessleigh Holloway, Cynthia Haynes
Powerful Families Podcast: The Role Of Occupational Therapy In Family Education Of Mental Health Conditions And Substance Use Disorder, Wessleigh Holloway, Cynthia Haynes
Fall 2024 OTD Capstone Symposium
Mental health conditions and SUD significantly impact family members emotionally and physiologically, yet these effects are often insufficiently recognized and addressed (Delaney, 2023). Existing education programs focus on individuals in recovery, leaving families without the necessary knowledge and skills to support their loved ones effectively, resulting in feelings of powerlessness and confusion. This capstone project created an education program to equip family members of individuals with SUD or mental health challenges with the knowledge and skills needed to navigate addiction and recovery effectively. The program focuses on improving understanding of SUD, fostering healthier coping mechanisms, strengthening family trust, and enhancing …
Advocating For Occupational Therapy Intervention With In-House Athletics, Jatia Littles, Cynthia Haynes
Advocating For Occupational Therapy Intervention With In-House Athletics, Jatia Littles, Cynthia Haynes
Fall 2024 OTD Capstone Symposium
Occupational therapists (OT) have the opportunity to work with athletes by outsourcing through orthopedic centers with professional leagues such as the National Football League (NFL) (Jobs in Sports, 2022) but rarely do you see OTs within the sports complex working in-house. Although many studies go into great detail on the benefits of occupational therapy during the rehabilitation process, there are only a limited number of studies that explore occupational therapy intervention in athletics (Andreas et al., 2021). This project designed and implemented an occupational therapy-focused advocacy project that involves informing interprofessional sports faculty on the benefits of OTs being a …
Adapted Cheerleading Program For The Pediatric Population, Hailee Cantrell, Mary Greer, Jasmine Mathew
Adapted Cheerleading Program For The Pediatric Population, Hailee Cantrell, Mary Greer, Jasmine Mathew
Summer 2024 OTD Capstone Symposium
There are limited adapted programs with educated professionals that exist for children with childhood disabilities to be able to adapt activities to the specific needs of the child. Due to the limited opportunities for participation in leisure activities, these children have limited opportunities to improve physical, verbal, or emotional skills with their peers. The objective of this capstone was to create an adapted cheerleading program for the pediatric population to improve their physical, emotional, and verbal abilities as well as improve their mental health and overall quality of life.
Flow: An Ot-Based Yoga Program, Na'talia Orebeau, Keisa Boykin, Sadé Barnswell
Flow: An Ot-Based Yoga Program, Na'talia Orebeau, Keisa Boykin, Sadé Barnswell
Summer 2024 OTD Capstone Symposium
At-risk youth are at risk for decreased mental wellness and occupational engagement. There are limited programs available from an occupational therapist standpoint for the population. Flow: An OT-Based Yoga Program focused on bridging this gap by providing a 10-week program focusing on emotional regulation skills, social skills, and occupational engagement.
Understanding Athletes’ Experience When Transitioning To Life Beyond Sport: A Pilot Study, Alyssa L. Moore
Understanding Athletes’ Experience When Transitioning To Life Beyond Sport: A Pilot Study, Alyssa L. Moore
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Occupational Therapy And Self-Awareness For Adolescents With Mental Health Concerns, Deriyon Johnson, Rebecca King
Occupational Therapy And Self-Awareness For Adolescents With Mental Health Concerns, Deriyon Johnson, Rebecca King
Summer 2024 OTD Capstone Symposium
The project created an occupation-based program to address the unique needs of adolescents at risk of mental health concerns and promote improved occupational success. The problem presented is the lack of support available to assist adolescents experiencing profound emotional and behavioral challenges, triggering negative impacts on social participation, academics, self-care, and leisure. In addition, the program will introduce coping strategies and improve daily functions to increase motivation for engagement in desired activities. The purpose of the program was to improve these areas through a series of structured activities focusing on mental health awareness, emotional regulation, and personal development. The results …
Occupational Therapy And Expressive Strategies For Youth Trauma Recovery, Darin Lewis, Rebecca King
Occupational Therapy And Expressive Strategies For Youth Trauma Recovery, Darin Lewis, Rebecca King
Summer 2024 OTD Capstone Symposium
The purpose of this capstone project was to develop a program to address youth mental health concerns through expressive strategies and interventions.
An Anxiety And Coping Mechanism Educational Program For Children And Adolescents, Amanda Garrett
An Anxiety And Coping Mechanism Educational Program For Children And Adolescents, Amanda Garrett
Department of Occupational Therapy Entry-Level Capstone Projects
The following capstone project encompassed creating and implementing an educational program focusing on anxiety and coping mechanisms for adolescents 12-15 years of age at the YMCA in Largo, Florida. The academic program focuses on six different types of anxiety, which are generalized anxiety, social anxiety, test anxiety, feelings of panic, feelings of stress, and health anxiety, all in a PowerPoint format. Each of these topics also included a coping mechanism that the teens completed after learning about each different type of anxiety. These coping mechanisms included journaling, creating a stress ball, participating in a yoga class, completing a scavenger hunt …
Development Of An Intensive Outpatient Program (Iop) For Adolescents Of American Military Members Deployed Overseas To Support Mental Health, Aaron N. Brion, Tyler J. Russo
Development Of An Intensive Outpatient Program (Iop) For Adolescents Of American Military Members Deployed Overseas To Support Mental Health, Aaron N. Brion, Tyler J. Russo
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Advocating For The Role Of Occupational Therapy In A Community-Based Setting Through The Use Of Journaling For Individuals With Chronic Mental Illness, Taylor Muzik-Eversdijk
Advocating For The Role Of Occupational Therapy In A Community-Based Setting Through The Use Of Journaling For Individuals With Chronic Mental Illness, Taylor Muzik-Eversdijk
Department of Occupational Therapy Entry-Level Capstone Projects
Individuals who battle severe mental illness (SMI) experience a range of deficits that affect various aspects of daily life, including activities of daily living (ADLs), instrumental activities of daily living (IADLs), social participation, sleep and rest, education, work, leisure, and play. Research suggests that journaling can help individuals with SMI express their emotions and provide a healthy outlet for coping with symptoms. This doctoral capstone project aimed to identify the unique needs of individuals with SMI and explore how journaling and other occupational therapy (OT) interventions could expand the scope of practice within Boley Centers' assertive community treatment (ACT) teams …
Yoga-Based Occupational Therapy For People With Upper Extremity Dysfunction: An Educational Video Series, Bianca Salgado, Steven Gerardi, Mary Smith
Yoga-Based Occupational Therapy For People With Upper Extremity Dysfunction: An Educational Video Series, Bianca Salgado, Steven Gerardi, Mary Smith
Summer 2024 OTD Capstone Symposium
The upper extremity (UE) is essential for daily activities and occupational tasks. The inability to perform these tasks can negatively impact self-efficacy and hinder injury recovery. Current hand therapy often focuses on biomechanical approaches, neglecting these psychosocial aspects and deviating from core occupational therapy (OT) principles. Integrating yoga into OT for UE injuries and disorders can fill the gap in hand therapy needed to address psychosocial factors. However, Certified hand therapists who are occupational therapists lack the knowledge to integrate yoga-based interventions into OT practice for clients with UE conditions. The purpose of this project was to create an educational …
Service Dog Knowledge And Utilization In Occupational Therapy Practice, Lauren E. Garcia, Sierra P. Mcnicol
Service Dog Knowledge And Utilization In Occupational Therapy Practice, Lauren E. Garcia, Sierra P. Mcnicol
Graduate Student Scholarship
The assumed efficacy behind service dog intervention is based on the well-known potential for the development of a strong, emotional bond between humans and dogs. Occupational therapists can use knowledge of their specific scope of practice to aid in the referral process, and the assessment process, and to help assist clients with training and comfortability throughout the service dog placement process. Existing literature on service dog use and implementation within occupational therapy (OT) practice is limited and lacking in rigor, internal and external validity, and reliability. The aims of the current study include evaluating the level of education occupational therapy …
An Occupational Perspective On Collegiate Athlete Mental Health, Katelyn D. Cardwell
An Occupational Perspective On Collegiate Athlete Mental Health, Katelyn D. Cardwell
Graduate Student Scholarship
College can impact mental health for all students, especially those involved in a college sport. Sports require significant time dedication that decreases time available for students to be involved in other activities such as academics or leisure which can lead to increased stress. This study focuses on investigating the impact level of competition and location of school may have on student athletes’ mental health in the state of West Virginia. A mixed methods self-report survey with a total of 75 questions was administered online via Qualtrics software. Quantitative data was analyzed using Stats IQ feature on Qualtrics and qualitative data …
An Occupational Therapy Guide To Promoting Social And Emotional Health Among Youth In A Post Covid-19 Era, Alejandra Olvera, Jazminne Orozco Arteaga
An Occupational Therapy Guide To Promoting Social And Emotional Health Among Youth In A Post Covid-19 Era, Alejandra Olvera, Jazminne Orozco Arteaga
Summer 2024 OTD Capstone Symposium
The COVID-19 pandemic has contributed to a significant rise in mental health challenges among children and adolescents, impacting their daily performance and overall well-being. These psychosocial effects underscore an urgent need for comprehensive support from educators, parents, and communities to effectively address the increasing mental and behavioral health issues among young individuals.
The purpose of this project was to implement a program that would improve the social and emotional health of youth and adolescents, as well as to educate educators and parents. By fostering resilience and promoting mental well-being among youth and adolescents, the program's initiatives seek to mitigate the …
Understanding The Role Of Ot In Infertility, Jordan Swarztrauber
Understanding The Role Of Ot In Infertility, Jordan Swarztrauber
OT Student Capstones
Infertility is prevalent in the United States, affecting approximately 16% of couples. Those affected by infertility often seek Assistive Reproductive Technology (ART) treatments to help them conceive. Past literature has found that ARTs have negative effects on those undergoing treatments in their occupations, routines, habits, and mental health. Although it is commonly known in the medical literature, there is a dearth of research and clinical support for individuals who are experiencing disturbances in the above-described areas, leaving a gap in care for individuals who are undergoing ARTs. The present research study consists of 13 in-depth qualitative interviews, which gather data …
The Perceived Impact Of Direct Patient Care During The Covid-19 Pandemic On Occupational Therapy Practitioners’ Mental Health Status, Emilee N. Sasser, Kathleen French, Alison Lecompte, Carrie C. Slade, Jasper Queen
The Perceived Impact Of Direct Patient Care During The Covid-19 Pandemic On Occupational Therapy Practitioners’ Mental Health Status, Emilee N. Sasser, Kathleen French, Alison Lecompte, Carrie C. Slade, Jasper Queen
Journal of Interprofessional Practice and Collaboration
Aim: To identify the impact of severe acute respiratory syndrome-related coronavirus 2 (COVID-19) on the mental health status of occupational therapy (OT) practitioners providing direct patient care.
Methods: The researchers administered a survey to identify OT practitioners’ perceptions of mental health prior to and during the pandemic. The survey was posted online via a link on social media pages related to occupational therapy professional groups. Participants completed the self-administered survey consisting of 16 questions. Some participants provided narrative responses to select survey questions, which asked about their mental health prior to and during the COVID-19 pandemic.
Results: One hundred and …
A Community Re-Integration Mental Health Occupational Therapy Program For Veterans At The Sioux Falls Veterans Affairs Hospital, Holly M. Forrester
A Community Re-Integration Mental Health Occupational Therapy Program For Veterans At The Sioux Falls Veterans Affairs Hospital, Holly M. Forrester
Occupational Therapy Capstone Presentations
The Veteran population continues to be disproportionately impacted by mental health disorders despite growing efforts to address this epidemic. Despite an increase in Veterans Affairs (VA) sponsored programs to mitigate the disparity, the interdisciplinary team tasked with implementing the novel programs remains undiversified. My capstone project aimed to provide a comprehensive community reintegration program to the Veterans in the inpatient behavioral health setting and advocate for the role of occupational therapy on the mental health interdisciplinary team. The literature and needs assessment indicated a need for the implementation of occupational therapy specific groups that aimed to increase functional independence and …
Promoting Social, Emotional, And Behavioral Development For Children In A School Setting Using Targeted Occupational Therapy Intervention, Mykenzie N. Hall
Promoting Social, Emotional, And Behavioral Development For Children In A School Setting Using Targeted Occupational Therapy Intervention, Mykenzie N. Hall
Occupational Therapy Capstone Presentations
Children who have experienced trauma often have poor emotional regulation skills which can lead to peer rejection, decline in engagement at school, and poor academic performance. Occupational therapists have the knowledge and skills to create a client-centered approach when working with children who have experienced trauma. This emotional regulation program is guided by a trauma-informed care approach and a public health approach to mental health. The program consisted of 59 students between transitional kindergarten and 5th grade meeting in small groups once a week for 30 minutes over 11 to 12 weeks. The sessions included activities related to emotional regulation …
Occupational Therapy Services In Pediatric Mental Health, Hallie Jerome
Occupational Therapy Services In Pediatric Mental Health, Hallie Jerome
Occupational Therapy Capstone Presentations
Children and youth experiencing mental health concerns often have limited or decreased engagement in meaningful occupations. Additionally, children and youth who experience mental health concerns at an early age are more likely to experience negative health outcomes such as poor occupational engagement, academic achievement, adverse childhood experiences (ACES), maltreatment/abuse/neglect, family and peer conflict/rejection, low self-esteem, early substance use, and many others impacting their overall health and well-being. My capstone project aimed to administer occupation-based interventions in a pediatric mental health program while I advance my skills working with an interdisciplinary team. The literature and needs assessment indicated a need for …
Improving Postpartum Care Through Occupational Therapy, Madison Savage
Improving Postpartum Care Through Occupational Therapy, Madison Savage
Occupational Therapy Doctoral Capstones
The present study aimed to determine the potential role of occupational therapy in caring for women during their postpartum period. The study also aimed to discover the current goals of the practitioners and the needs of postpartum women.
Forming The Foundation For Success In Occupational Therapy Doctorate Students, Danielle Harris
Forming The Foundation For Success In Occupational Therapy Doctorate Students, Danielle Harris
Occupational Therapy Doctoral Capstones
Create a preparatory bootcamp for incoming occupational therapy doctorate students to provide education on studying methods, coping strategies, stress management, occupational balance, and mindfulness practices to prepare students and promote their success within the occupational therapy doctorate program.
Bucks For Better Mental Health: Supporting Community College Students, Ansley Simmons
Bucks For Better Mental Health: Supporting Community College Students, Ansley Simmons
Occupational Therapy Doctoral Capstones
The main project for the doctoral capstone project was to create a professional development course to educate faculty and staff on how to best support student mental health on campus.
Collegiate Student-Athlete Mental Health In West Virginia: An Occupational Perspective, Natalie P. Gates, Bailey A. Riggs, Drew D. Altizer
Collegiate Student-Athlete Mental Health In West Virginia: An Occupational Perspective, Natalie P. Gates, Bailey A. Riggs, Drew D. Altizer
Graduate Student Scholarship
Collegiate athletes must take on multiple roles while they are attending a college or university, which can negatively impact their mental health. These student-athletes must not only follow the role demands and expectations of an athlete but also of a college student, all while emerging into adulthood in the college environment. This can be overwhelming for many collegiate athletes, and they often find it difficult to balance all their responsibilities to live a satisfactory life. Therefore, a role for occupational therapy exists in this realm. A quantitative study design using survey methods was chosen in hopes of identifying and describing …
Rebuilding Lives: Occupational Therapy's Crucial Role In Community Reintegration To Reduce Recidivism Rates, Julie Burgoon, Kari Joyce
Rebuilding Lives: Occupational Therapy's Crucial Role In Community Reintegration To Reduce Recidivism Rates, Julie Burgoon, Kari Joyce
MOT Student Capstones
The integration of occupational therapy (OT) in the criminal justice system provides a promising and unique approach for addressing community reintegration, thereby contributing to the reduction of recidivism rates in the United States. OT impacts recidivism rates by addressing three main areas; occupational deprivation, mental health, and community reintegration. OT addresses the negative consequences of incarceration by promoting engagement in meaningful activities, establishing routine, and assisting individuals in achieving a variety of skills necessary for successful reintegration. OTs can provide valuable interventions that support mental and occupational engagement to decrease recidivism rates. OT led community reintegration program not only improves …
Ot's Role With Survivors Of Sexual Assault, Myracle N. Carter, Cassandra M. Nelson
Ot's Role With Survivors Of Sexual Assault, Myracle N. Carter, Cassandra M. Nelson
Spring 2024 Virtual OTD Capstone Symposium
Sexual assault can lead to a multitude of symptoms that can negatively impact an individual’s occupational participation and quality of life. However, the literature and programming surrounding the use of occupational therapy (OT) with survivors of sexual assault is limited or outdated. Therefore, this program was created to be a resource and guide to increase the use of OT with survivors. This program included a total of five modules, which provided education and occupation-based activities to the participants to increase their occupational participation, specifically in work and education, and their overall quality of life. Following the conclusion of the implementation …
An Ot Program To Support Women With High-Risk Pregnancy, Mackenzie M. Morgan, Cassandra Nelson
An Ot Program To Support Women With High-Risk Pregnancy, Mackenzie M. Morgan, Cassandra Nelson
Spring 2024 Virtual OTD Capstone Symposium
This poster is an overview of an occupational therapy program developed at a Women's Health OBGYN Clinic in Texas. The program was designed to address the needs of women with high-risk pregnancy and focused on mental health, physical health, energy conservation, emotional regulation, and social participation. The findings indicate the needs for further research to understand how occupational therapy can support women's health and an expansion of program offerings to increase support for high-risk pregnancy.
Exploring Healthy Occupations For Adolescents At Risk For The Juvenile Justice System, Megan Vo, Dana Madalon, Mary Jan Greer
Exploring Healthy Occupations For Adolescents At Risk For The Juvenile Justice System, Megan Vo, Dana Madalon, Mary Jan Greer
Spring 2024 Virtual OTD Capstone Symposium
Many youth who are at risk for the juvenile justice system are likely to have spent some time in the foster care system or child welfare system. This population is often found lacking in social skills and/or life skills that contribute to the difficulties with independent living. Occupational therapy practitioners can provide independent life skills training, such as cooking/meal prepping, budgeting, and job exploration as well as providing healthy leisure outlets to promote a successful transition into adulthood. This program aims to promote the development of skills this population requires for successful independent living as an adult such as basic …
The Effects Of Cervical Cancer Diagnosis On Occupational Performance, Wynnet Sinclair, Christine Mcconnell, Emily Clark, Katie B. Mcentire, Caitlin Lewis, Lyndsi Pound, Katherine Wuertz
The Effects Of Cervical Cancer Diagnosis On Occupational Performance, Wynnet Sinclair, Christine Mcconnell, Emily Clark, Katie B. Mcentire, Caitlin Lewis, Lyndsi Pound, Katherine Wuertz
The Open Journal of Occupational Therapy
Background: In the United States, it was predicted that approximately 13,960 new cases of invasive cervical cancer would be diagnosed in 2023 (American Cancer Society, 2023). The research question focused on identifying changes in occupational performance for patients with cervical cancer. The areas of occupational performance considered were activities of daily living, leisure, work, education, social participation, and mental health.
Methods: The respondents completed a cross-sectional, mixed methods Qualtrics survey. Likert scale questions captured the degree of functional impact of cervical cancer on the predetermined areas of occupational performance.
Results: Twenty-seven subjects (ages 18 to 70) fully …